| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $567,593.35 | $567,593.35 | $567,593.35 | |
Aetna
| Professional | $489,304.61 | $489,304.61 | $587,165.53 | |
Cigna
| Professional | $489,720.00 | $489,720.00 | $586,740.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |